The PASRR Technical Assistance Center helps states fulfill the goals of Preadmission Screening and Resident Review

Resources

FAQ
Specialized Services
Feb 8, 2018
In order to be eligible for federal financial participation (FFP), Specialized Services must be included in the State Plan.
FAQ
FFP
Jan 27, 2018
To understand what PASRR activities cannot be claimed at the 75% Federal Financial Participation (FFP) match, one must first be clear on what activities are eligible for FFP.
FAQ
75% Match
Jan 27, 2018
Federal regulations give states the authority to claim FFP for administrative activates associated with the PASRR program included in their State Plan at Part §433.15(a)(9) of the CFR.
FAQ
Level II, Facilities
Jan 27, 2018
No, a nursing facility cannot perform a Level II pre-admission evaluation or resident review. 42 CFR §483.106(e)(iii)  prohibits nursing facilities (or any entity th
FAQ
75% Match
Jan 27, 2018
According to §1903(a)(2)(C) of the Social Security Act and 42 CFR 433.15(b)(9), activities th
FAQ
Change in Condition, MDS
Jan 26, 2018
Yes, the CMS Long-Term Care Facility Resident Assessment Instrument (RAI) User’s Manual requires the NF to provide notification to the State-designated mental health (MH) or intellectual disability (ID) authority promptly
FAQ
Level II, Personnel
Jan 26, 2018
Level II evaluations for individuals with intellectual disabilities and/or related conditions:
FAQ
Level I, Personnel
Jan 26, 2018
Federal regulations governing PASRR do not specify restrictions on who can conduct Level I screens. 
FAQ
Laws and Rules
Jan 25, 2018
Part 42, Subpart C of the Code of Federal Regulations (CFR) contains the guiding regulations for PASRR compliance.
FAQ
Hospital Discharge Exemptions
Jan 25, 2018
According to 42 CFR 483.106(a)(2), Basic Rule, the only true exemption from PASRR is the Exempted Hospital Discharge (EHD).
FAQ
MDS
Dec 8, 2017
PASRR is guided by federal regulations that require: (1) all individuals being considered for admission to a Medicaid-certified nursing facility (NF) be screened prior to admissi
FAQ
Interfacility Transfer
Dec 8, 2017
According to 42 CFR §483.106(b)(4) of the Code of Federal Regulations (CFR), when an individual is transferred from one nursing facility (NF) to another NF, with or without an intervening hospital stay, the individual is not considered a “new admission” and does not need preadmission screening.
FAQ
Change in Condition
Dec 8, 2017
Per Section 1919(e)(7)(B)(iii) of the Social Security Act,  Resident Reviews are required for NF residents experiencing a “significant change in condition.” (Note that this provision replaced the requirement that PASRR Resident Reviews must b
FAQ
Resident Review
Dec 7, 2017
Originally when the PASRR regulations were completed in 1992, Resident Reviews were required annually.
FAQ
Level II, Dementia
Jul 26, 2017
PASRR regulations at 42 CFR 483.128(m) permit Level II evaluations to be terminated if the Level II evaluator finds that individual has: “A primary diagnosis of dementia (including Alzheimer’s Disease or a related disorder)” (42 CFR 483.128(m)(2)(i)); or
FAQ
Dementia, Categorical Determinations, Intellectual Disability
Jul 26, 2017
States may apply the categorical determination at 42 CFR 483.130(h), to address a decision not to provide specialized services to individuals with dementia and intellectual disability. “(h) Categorical determinations: Dementia and ID.
FAQ
Dementia, Mental Illness
Jul 26, 2017
The dementia exclusion for mental illness allows for the Level II evaluator to stop the evaluation if they determine that the diagnosis of dementia is primary and the mental illness (MI) diagnosis is secondary.  It is important to note that the diagnosis or verification of a diagnosis of MI and...
FAQ
Level II, Laws and Rules
Jul 26, 2017
Since the ICD-10-CM coding went into effect on October 1, 2015, some State PASRR programs have reported an increase in PASRR volume, particularly in referrals for Level II Resident Reviews. The increase is largely attributed to the computer algorithm that converted ICD-9 codes to ICD-10 codes.
FAQ
Intellectual Disability, Federal Regulations, Testing
May 15, 2015
There is a common misconception about this. The simple answer is "no" -- a test of intllectual functioning is not required. Here's the reasoning, broken down into its components:
FAQ
Level II, Personnel
Jun 11, 2014
Yes, hospitals can perform Level II evaluations -- provided they have the qualified staff. In order to complete these evaluations, hospitals would first have to negotiate payment rates with the relevant state agency.

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